| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,435 |
1,246 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
474 |
439 |
$18K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
251 |
146 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
89 |
84 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
1,360 |
1,217 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
31 |
30 |
$2K |
| 0001A |
|
219 |
81 |
$926.50 |
| 0002A |
|
262 |
60 |
$832.00 |
| 99401 |
|
44 |
43 |
$649.49 |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
276 |
191 |
$618.52 |
| 99406 |
|
86 |
82 |
$500.60 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
28 |
$415.93 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
175 |
108 |
$184.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
17 |
$70.00 |
| 90756 |
|
12 |
12 |
$0.00 |